NCASA is an affiliate member of the United States Adult Soccer Association (USASA) under the United States Soccer Federation (USSF).  One of the benefits of being a player in a sanctioned league is the availability of a supplemental accident insurance policy.

Players should file claims within 90 days from the date of the injury or the benefits may be denied due to untimely filing.  Note - you do not have to wait until you have all of your bills to submit the claim form.  Bills may be forwarded later with a copy of the original claim form.

For additional information on the benefits, download a Claim Form and follow the instructions to file your claim.

CLAIM FORMS MUST BE PROCESSED THROUGH YOUR LEAGUE AND SENT TO NCASA FOR APPROVAL.  Do not send a Claim Forms directly to the insurance company as it will be returned and will delay the process.

Instructions:

• Complete the Claim Form.
• Fill in the League name.  The State Association is NCASA. The Region is III. 
• Obtain the signature (on page 2) of your Team Captain present at the match at the time of the accident.
• Send the form to your League for signature.
• Your League will validate that you are a current player and will sign the Claim Form.
• Leagues should scan and email the form to [email protected] OR mail the form to NCASA, PO Box 18229, Greensboro, NC  27419.
• NCASA will process the form and send it to the insurance provider.
• The player will be contacted by the insurance provider once the claim is processed.